
Your side of the table. Every time. Healthcare and office tenant representation across Washington DC, Maryland and Northern Virginia.
Medical, dental and ambulatory practices and office tenants across the DMV. Decision clarity, total occupancy cost and negotiation strategy, not a tour schedule.
Brian Perry Advisory represents the tenant, the practice and the buyer. Never the landlord. The office is at 1750 Tysons Boulevard, which means the market you are negotiating in is the one outside the window, not a submarket read off a report.

A quarter of Fairfax County’s office space, on one percent of its land.
Tysons submarket figures from published brokerage research for the first quarter of 2026. Healthcare count from a review of provider locations across the Tysons and McLean corridor. Numbers move every quarter and different publishers measure them differently, which is the subject of one of the notes below.
The DMV, submarket by submarket.
Rent, vacancy and negotiating leverage are different in every one of these markets. Here is the current read on each.

Tysons Corner
Inventory, vacancy and asking rents, and how Tysons compares to Reston and Arlington.

McLean
Same ZIP code as Tysons, priced higher, driven by headquarters tenants like Capital One and Freddie Mac.

Arlington
The priciest corridors in Northern Virginia and the highest vacancy, at the same time.

Fairfax
Government contractors and the law firms that serve them, not a healthcare submarket.

Washington, DC
Submarket vacancy, the Class A to B rent spread, and the tax rate that reaches your rent.

Bethesda & Chevy Chase
Where medical and dental clusters sit, real parking costs and the Maryland reassessment.

Rockville
Three markets in one name: general office, medical and dental, and a genuine life sciences cluster.
Representation, and the analysis behind it.

Healthcare Practices
Medical, dental, behavioural health and ambulatory practices in Tysons and McLean.

Office Tenant Rep
Office tenants in Tysons Corner and across Northern Virginia.

Renewals & Relocations
Stay, renegotiate or move. The analysis behind the decision.

Buyer Representation
Practices and businesses buying the building they will occupy.

Multiple Locations
One point of contact across markets, with local expertise in each.

The Tysons Market
Inventory, vacancy, rents and transit, from a tenant’s point of view.
A practice does not lease square footage.
It leases plumbing, power, floor loading, parking ratio and patient access. Most of the buildings in a Tysons search cannot deliver all five, and the rate is rarely what disqualifies them.
- Buildings screened against the clinical spec before anyone books a tour
- Allowance negotiated against a costed build-out, not a per foot rule of thumb
- Parking ratio tested against real patient volume, not the building average
- Timing built backwards from the date you have to be seeing patients
17.7 percent vacant. 23.4 percent available.
That six point gap is other tenants already in motion, and it is where your leverage comes from. But it lives in commodity space. The Class A blocks near the Silver Line are absorbing and they are not negotiating like the rest of the market.
- Every option modelled on the same basis, including staying put
- Concessions argued from comparable deals, not published averages
- Renewal runway started before the leverage window closes
- Coordination with counsel, architects and project managers through occupancy

What the reports say, and what they leave out.
Won the Award, Now You Need the Space: A Lease Playbook for Northern Virginia Government Contractors
The new fiscal year started October 1. Match the lease, and any SCIF, to the contract, not the other way around.
Bethesda or Rockville? What a Medical Practice Is Actually Choosing Between
Nine dollars a foot separates them. The rent gap is the least interesting part of the decision.
Five Brokerages, Five Different Vacancy Rates: What the Northern Virginia Office Reports Are Not Telling You
Five firms published five different vacancy numbers for the same quarter. The spread is methodology, not disagreement, and neither one helps you at the table.
What practices say after the deal closes.
Brian is a caring, expert, and professional real estate agent! This is my 2nd time working closely with him to search, follow up and negotiate on my behalf during my process of finding my professional Business locations! I highly recommend Brian all the way. He is awesome, and you will find him always available for you 24/7 literally. He exceeded my expectations!
Signature OrthodonticsOrthodontic practiceBrian Perry and Chuck Feitel did an amazing job helping me with a recent real-estate purchase for my practice! I know they are well known in the medical community but they have incredible expertise beyond property, connecting me with lenders, contractors, and others involved with the process. I could not have gotten the property without all of their guidance, hard work and diligent follow up. They are extremely responsive and experienced!
Congressional Plastic SurgeryPlastic surgery practice, owner-user purchaseBrian is outstanding. He persisted with us for over a year and helped us get a location that is key to our business - just a great combination of skill, tenacity and personal touch.
Onsite DentalDental group, multi-location“The focus is decision clarity, financial implications and negotiation strategy. Understanding total occupancy cost, concession dynamics and long term risk before a lease is signed. Brian Perry, CCIM · Principal Advisor, eXp Commercial · Licensed in Virginia, Washington DC and Maryland

Request a complimentary strategy call.
Thirty minutes on your requirement, your timing and where the leverage actually sits. A written read on the market comes back before anything is toured. No obligation.